Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | #01220 | MD |
NPI | 1144627886 |
---|---|
Provider Name | Mrs. Joyce Farrington |
First Address | Baltimore, MD 21215-3816 |
Second Address | Baltimore, MD 21215-3816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2014 |
Last Update Date | 24/11/2014 |